Individual
MS. JILL M PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
2024 BRISBANE WOODS WAY, CARY, NC 27518-9255
(919) 455-8466
Mailing address
2024 BRISBANE WOODS WAY, CARY, NC 27518-9255
(919) 455-8466
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10057
NC
Other
Enumeration date
10/09/2013
Last updated
10/09/2013
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